J Korean Neurosurg Soc.  2005 Dec;38(6):481-483.

Spontaneous Spinal Subdural Hematoma: Treatment with Lumbar Drainage

• Kim CH
• Kim SW
• Chang CH
• Kim SH

Abstract

We report a rare case of spontaneous spinal subdural hematoma(SSDH). A 63-year-old man presented with radicular pain and paraparesis on both legs for several months. On magnetic resonance images, SSDH was found in lumbar region. Electrodiagnostic report showed bilateral lumbosacral polyradiculopathy, such as cauda equina syndrome. SSDH was drained with lumbar drainage at L4-5 level without direct exploration. The patient improved after drainage of the hematoma and then he was able to walk independently.

Keyword

Spontaneous spinal subdural hematoma; Cauda equina syndrome; Lumbar drainage

MeSH Terms

Drainage*
Hematoma
Hematoma, Subdural, Spinal*
Humans
Leg
Lumbosacral Region
Middle Aged
Paraparesis
Polyradiculopathy